Active NPI
Medford Medical
- Family Medicine Physician
- Glen Head, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MEDFORD MEDICAL
- Practice address
- 699A Glen Cove Ave
Glen Head, NY 11545 - Phone
- (516) 858-1828
- NPI assigned
- Mar 5, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ricky Vohora, DO
- Title
- Ceo
- Phone
- (516) 858-1828
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
699A Glen Cove Ave
Glen Head, NY 11545
Mailing address
2608 Route 112
Medford, NY 11763-2551
Phone (631) 475-4476
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2342961 | Medford Medical Inc | Certificate of waiver | Apr 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
699 Glen Cove Ave
#A
Glen Head, NY 11545
Phone (516) 858-1828
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- East Northport, NY
- NPI 1669756599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772668800000",
"number": "1669328423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2608 ROUTE 112",
"city": "MEDFORD",
"state": "NY",
"postal_code": "117632551",
"telephone_number": "631-475-4476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "699A GLEN COVE AVE",
"city": "GLEN HEAD",
"state": "NY",
"postal_code": "11545",
"telephone_number": "516-858-1828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDFORD MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-05",
"last_updated": "2026-03-05",
"certification_date": "2026-03-02",
"status": "A",
"authorized_official_last_name": "VOHORA",
"authorized_official_first_name": "RICKY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "516-858-1828",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Head, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.